Jackman, Monica Moore

Jackman, Monica Moore is an sole proprietor health care provider with primary practice located at 600 Sw Darwin Blvd Suite 101B, Port St Lucie FL 34953-3365. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jackman, Monica Moore can be contacted via phone (772) 905-8761.

Contact Information

Primary practice address
600 Sw Darwin Blvd Suite 101B Port St Lucie FL 34953-3365
Phone: (772) 905-8761
Fax: (772) 905-8782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT9381 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT9381 Florida

Profile Details

NPI number 1942499272
LBN Legal business name Jackman, Monica Moore
Credentials OTD, MHS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Jan 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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